Regional: Regional Strategic Response to Malaria and Other Communicable Diseases in Asia and the Pacific

Sovereign Project | 47272-001

Summary

The technical assistance (TA) will focus on initiating regional cooperation and further development of the business case for a regional funding mechanism for long-term control and prevention of malaria and other communicable diseases in Asia and the Pacific region, in collaboration with governments and development agencies. The TA is in line with ADB Strategy 2020 and Operational Plan for Health, and the Regional Cooperation and Integration Strategy. Regional integration is one of three institutional objectives under ADB corporate guidance of Strategy 2020, which explicitly recognizes health security from communicable diseases, such as malaria, as a regional public good. Regional integration both emphasizes the threat of rapid transmission of communicable diseases, and expands opportunities for addressing them.

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Project Name Regional Strategic Response to Malaria and Other Communicable Diseases in Asia and the Pacific
Project Number 47272-001
Country Regional
Project Status Closed
Project Type / Modality of Assistance Technical Assistance
Source of Funding / Amount
Strategic Agendas Inclusive economic growth
Regional integration
Drivers of Change Governance and capacity development
Sector / Subsector

Health - Health insurance and subsidized health programs

Gender Equity and Mainstreaming
Description The technical assistance (TA) will focus on initiating regional cooperation and further development of the business case for a regional funding mechanism for long-term control and prevention of malaria and other communicable diseases in Asia and the Pacific region, in collaboration with governments and development agencies. The TA is in line with ADB Strategy 2020 and Operational Plan for Health, and the Regional Cooperation and Integration Strategy. Regional integration is one of three institutional objectives under ADB corporate guidance of Strategy 2020, which explicitly recognizes health security from communicable diseases, such as malaria, as a regional public good. Regional integration both emphasizes the threat of rapid transmission of communicable diseases, and expands opportunities for addressing them.
Project Rationale and Linkage to Country/Regional Strategy

The Asia and Pacific region has long been a global epicenter for emerging, re-emerging and renewed threats from communicable diseases that bring about lasting economic impacts on productivity and trade. Large populations, increasing urbanization, crowding and migration, rampant availability of low quality and counterfeit drugs, rapidly increasing livestock and poultry sectors, climate change and encroachment into the remaining wild areas, exacerbate the region's vulnerability. Drug resistant malaria and tuberculosis, new HIV infections, pandemic influenza and other emerging infections underscore these health security threats that cut across borders and affect low and middle income countries. It is becoming increasingly clear that regional cooperation and integration in health are necessary to address the increasing threats and to foster positive health benefits from economic integration and growth in the region.

ADB has been providing leadership and assistance to its developing member countries (DMCs) in dealing with communicable diseases, with a range of medium- and long-term capacity building as well as emergency response initiatives. ADB has been at the crossroads of the major international initiatives to control communicable and emerging infectious diseases such as SARS (2003), avian influenza H5N1 (2006), pandemic influenza H1N1 (2009) and the continuing outbreaks of dengue and malaria. It has also maintained long-term capacity building assistance in tackling communicable and emerging diseases in the Greater Mekong Subregion. ADB has initiated a strategic response to HIV/AIDS, including mitigation efforts in newly developing economic corridors, in the transport sector and with vulnerable and high-risk populations. ADB's extensive experience has demonstrated its capacity to support DMCs achieve millennium development targets on communicable diseases and its ability to successfully advocate for investments in regional public goods. It has also established its strengths in regional coordination, multisectoral collaboration, donor harmonization and innovative partnerships.

Development agencies and countries in the region are responding to current communicable disease challenges, such as the continuing HIV/AIDS epidemic and the emergence of artemisinin resistance malaria, with renewed commitments. Development partners recognized a mutual self-interest in regional collaboration to drive progress to control and prevention of communicable diseases. Moreover, strong and emerging economies and industries have the resources, technical ability and leadership to invest in reducing existing disease burdens and mitigating risks from communicable diseases. For instance, at the East Asia Summit in November 2012, East Asia leaders have agreed to establish the Asia Pacific Leaders Malaria Alliance (APLMA) to help accelerate progress towards elimination of malaria from the region. Working jointly towards malaria elimination in the region and support advocacy at the highest political level is a springboard for strong regional cooperation on fighting other communicable diseases of common concern.

Cognizant of the renewed cooperation among development partners, ADB has been in discussion with AusAID, DfID, DMC governments, a number of private sector entities, and emerging donors to develop a more sustainable regional response to malaria and other communicable diseases, particularly governance and financing mechanisms to enable a coordinated regional approach.

This TA presents an important opportunity to initiate a long-term commitment in the fight against communicable diseases, including strengthening regional advocacy for regional cooperation and inclusive response. The TA will serve as catalyst to expand funding and programming for communicable diseases by supporting the political leadership and collaboration on malaria elimination. It will facilitate collaboration with development partners in developing regional governance and long-term funding mechanisms for communicable diseases in Asia and the Pacific region.

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Description of Outcome
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Description of Project Outputs
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Summary of Environmental and Social Aspects
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Involuntary Resettlement
Indigenous Peoples
Stakeholder Communication, Participation, and Consultation
During Project Design
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Business Opportunities
Consulting Services

The following individual international consultants will be engaged for this project:

1. A senior public health specialist (consultant) will be engaged to further develop the business case for regional cooperation and funding for malaria.

2. A meeting coordinator (consultant) will be recruited to provide logistical support to the organization of the APLMA regional meeting, and the consultative meetings of the regional working groups on (i) sustainable finance and (ii) access to quality drugs and technologies.

3. A communications specialist will be recruited to develop a communications strategy and knowledge management plan, including packaging and dissemination of information, to support the Asia Pacific Leadership Malaria Alliance (APLMA) marketing, communications, branding and outreach activities with the aim of sustaining engagement of stakeholders including governments, donors, academia and private sector.

4. An international resource person with known technical expertise on malaria elimination will be engaged to provide updates, in the form of a policy brief, on malaria progress and challenges in the Asia-Pacific as an input to the APLMA Meeting. The resource person will be responsible for preparing a ten page written brief, and may be asked to present or be part of a panel in the meeting.

5. An international resource person who is a known malaria elimination advocate will be engaged for up to 3 days to provide input, in the form of a policy brief, to the APLMA Meeting. The policy brief will highlight the central role, thus the urgent need of, national leadership in malaria control and elimination, including control of artemisinin resistance. The resource person will be responsible for preparing a 2-3 page written brief, and may be asked to present or be part of a panel in the meeting.

6. International resource persons (3) with expertise on regional collaboration, pharmaceutical regulation and trade, and country specific AQM issues will be engaged for up to 2 days to provide updates, in the form of policy briefs and panel discussions, on regional efforts to improve malaria drug supplies in Asia and the Pacific, particularly with insights on regional cooperation needs to combat artemisinin resistance.

7. International resource persons (3) with expertise on regional collaboration, innovative financing mechanisms, and country specific malaria finance issues will be engaged for up to 2 days to provide updates, in the form of policy briefs and panel discussions, on regional options to develop long-term, sustained financing for malaria control and elimination in Asia and the Pacific, with special emphasis on the short-term need to combat artemisinin resistance.

Procurement Consultants will be engaged by ADB in accordance with ADB's Guidelines on the Use of Consultants (2013, as amended from time to time). Goods and services will be procured in accordance with ADB's Procurement Guidelines (2013, as amended from time to time). Disbursement under the TA will be made in accordance with ADB's Technical Assistance Disbursement Handbook (2010, as amended from time to time).
Responsible ADB Officer Eduardo P. Banzon
Responsible ADB Department SDCC
Responsible ADB Division Poverty Reduction, Gender and Social Development Div., RSDD
Executing Agencies
Asian Development Bank6 ADB Avenue, Mandaluyong
Metro Manila, Philippines
P.O. Box 789, 1099 Manila,
Philippines
Timetable
Concept Clearance 01 Aug 2013
Fact Finding -
MRM -
Approval 25 Aug 2013
Last Review Mission -
Last PDS Update 05 Sep 2013

TA 8438-REG

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
25 Aug 2013 - 25 Aug 2013 31 Mar 2014 31 Aug 2014 -
Financing Plan/TA Utilization Cumulative Disbursements
ADB Cofinancing Counterpart Total Date Amount
Gov Beneficiaries Project Sponsor Others
0.00 0.00 0.00 0.00 0.00 0.00 0.00 25 Aug 2013 164,904.90

Safeguard Documents

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Evaluation Documents

See also: Independent Evaluation

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